Individual
DR. PRACHI MAHENDRA MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-0611
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-8735
(215) 456-4695
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD443559
PA
Other
Enumeration date
04/01/2008
Last updated
10/23/2013
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